Reference no: EM133095137

Your new patient mr. Smith is assigned to your unit after getting into a fight outside a local mall. He got into a group of strangers outside the store. Mr. Smith reported that he was threatened by others who witnessed the event state no threat was made and the group he fought with denied making any statements or threats to him at all. Witnesses reported Mr. Smith approached the group from a distance and appeared angry, disorganized, an agitated. Mr. Smith is a veteran with a history of (PTSD) and comorbidities of depression and intermittent psychotic episodes. He does not have a substance abuse disorder. In the unitMr. smiths paranoia continues and he becomes agitated and threatens to assault another staff person. He tells you your the only one I can trust. But can I? Are you going to take their side?

1. What would be your initial interventions?

2. What would be your statement of diagnosis be at this time?

3. If he continued to escalate and became a direct threat to himself or others, what do you anticipate the next steps would be?